2. Prove It…or Lose it
Joel Bessmer, MD, Strada Healthcare
Submit your questions to: aafp3.cnf.io

3. Activity Disclaimer
The material presented here is being made available by the DPC Summit Co-organizers for educational
purposes only. This material is not intended to represent the only, nor necessarily best, methods or
processes appropriate for the practice models discussed. Rather, it is intended to present statements and
opinions of the faculty that may be helpful to others in similar situations.
Any performance data from any direct primary care practices cited herein is intended for purposes of
illustration only and should not be viewed as a recommendation of how to conduct your practice.
The DPC Summit Co-Organizers disclaim liability for damages or claims that might arise out of the use of
the materials presented herein, whether asserted by a physician or any other person. While the DPC
Summit Co-Organizers have attempted to ensure the accuracy of the data presented here, these materials
may contain information and/or opinions developed by others, and their inclusion here does not necessarily
imply endorsement by any of the DPC Summit Co-Organizers.
The DPC Summit Co-Organizers are not making any recommendation of how you should conduct your
practice or any guarantee regarding the financial viability of DPC conversion or practice.

4. Faculty Disclosure
It is the policy of the DPC Summit Co-Organizers that all individuals in a position to
control content disclose any relationships with commercial interests upon
nomination/invitation of participation. Disclosure documents are reviewed for potential
conflict of interest (COI), and if identified, conflicts are resolved prior to confirmation of
participation. Only those participants who had no conflict of interest or who agreed to an
identified resolution process prior to their participation were involved in this CME activity.
All faculty in a position to control content for this session have indicated they
have no relevant financial relationships to disclose.
The content of this material/presentation in this CME activity will not include discussion
of unapproved or investigational uses of products or devices.

5. Learning Objectives
• Recognize the market demand for cost and quality data.
• Explain various cost and quality measures that reflect DPC
impact, without diverting physician time from patient care.

6. AES Question
aafp3.cnf.io

7. What Kind of Practice Do You Operate?
(pre-question)
• Still fee for service. Just exploring
• Only Fee For Service, but planning to convert to DPC
• Practicing DPC – Less than 2yrs experience
• Practicing DPC – More than 2yrs experience

8. Live Content Slide
When playing as a slideshow, this slide will display live content
Poll: What Kind of Practice Do You Operate?

9. For Those DPC Clinics, What Type of Clinic Do
You Operate?
(pre-question)
• FFS/DPC Hybrid
• Pure DPC
• Other?

10. Live Content Slide
When playing as a slideshow, this slide will display live content
Poll: For Those DPC Clinics, What Type of Clinic Do You
Operate?

11. For DPC Clinics: Do You Work With Employer
Groups?
(pre-question)
• Not currently and do not plan to
• Not currently, but would like to
• Yes, work with less than 10
• Yes, work with more than 10

12. Live Content Slide
When playing as a slideshow, this slide will display live content
Poll: For DPC Clinics: Do You Work With Employer Groups?

13. 13
• Founded April, 2016
• Locations in Nebraska & Iowa
• DPC Hybrid Model
• 71% Employer Patients
Quick Summary of Strada Healthcare

14. 14
Why Employer Groups?

15. Case Studies
• Large Insurance Company
– Over 1,000 employees
– Enrollment/HR process
– HSA & legal team
• Mid-Sized Plumbing Company
– 120 employees
– DPC not integrated with
insurance plan
• Mid-Sized Plumbing Company
– 140 employees
– Converted company from fully
insured to self insured
• Small Vehicle Collision Repair
– Less than 50 employees
– Explaining DPC is not insurance

16. 16
Data is sort of a big deal

17. 17
Important Metrics
• Cost PMPM Health
• Cost PMPM RX
• Generic vs Brand Name RX
use
• ER Visits
• Inpatient Admits
• Clinic Visits
• Total Claims
• Specialist Visits
• Text/Call Volume by Hour
• Geo Mapping Claims
• Age/Gender Distributions
• Biometric Data
• Triglycerides
• HDL
• LDL
• Other Lab Values

18. 18
Burton Plumbing
$568.18
$133.04
$0.00
$150.00
$300.00
$450.00
$600.00
PMPM - Medical
Non Strada Strada

19. 19
$102.47
$8.10
$0.00
$27.50
$55.00
$82.50
$110.00
PMPM - Rx
Non Strada Strada
Burton Plumbing

20. 20
151.11
13.58
0.00
40.00
80.00
120.00
160.00
ED Visits Per 1000
Non Strada Strada
Burton Plumbing

21. 21
35.56
2.09
0.00
10.00
20.00
30.00
40.00
IP Admits Per 1000
Non Strada Strada
Burton Plumbing

22. 22
1
0
Non Strada Strada
Workers Comp Injuries Per Month
Burton Plumbing

23. 23
Biometric Data
1
0
-0.6
-0.3
0.0
0.3
0.6
0.9
BMI
-4
-14
-16.00
-12.00
-8.00
-4.00
0.00
Glucose
Non Strada Strada
-1
2
-1.6
-0.8
0.0
0.8
1.6
2.4
HDL

24. 24
Biometric Data
0
-5
-6.3
-5.0
-3.8
-2.5
-1.3
0.0
Diastolic BP
8
-7
-8
-4
0
4
8
12
Systolic BP
Non Strada Strada
No Change

25. 25
Biometric Data
-3
-3
-3.2
-3.2
-3.1
-3.0
-2.9
-2.9
Cholesterol
5
-47
-62.5
-46.875
-31.25
-15.625
0
15.625
Triglyceride
Non Strada Strada

26. 26
Coming Soon… DPC Pilot for NE State
Employees

27. 27
Growing DPC Together
If you want to go fast,
go alone.
If you want to go far,
go together.
-African Proverb

28. Questions?
Submit your questions to:
aafp3.cnf.io
Don’t forget to evaluate
this session!
Contact Information
Joel Bessmer, MD
Strada Healthcare
joel@stradahealthcare.com
www.stradahealthcare.com